4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Situated in the serene city of Nephi, Utah, Sandstone Nephi emerges as a comprehensive senior community offering expert short-term rehabilitation, skilled nursing, assisted living, and long-term facilities. Sandstone Nephi stands as a beacon of complete care, dedicated to fostering a thriving community where residents can rediscover joy and pursue their passions in a nurturing environment.
Nestled in the captivating landscape of Nephi, Utah, Sandstone Nephi encapsulates the essence of its picturesque surroundings. As a part of the Sandstone Healthcare Group, with additional locations in Arizona and Nevada, the facility ensures residents receive nothing short of stellar care, striving to facilitate a return to their most beloved activities. Boasting an array of physical, occupational, and speech therapy services, Sandstone Nephi remains steadfast in its commitment to delivering exceptional skilled nursing care and rehabilitation, empowering residents to rediscover their cherished pursuits.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 27th out of 80 homes in Utah for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 2m per day | ▼ 12% State avg: 1h 11m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 32m per day | ▲ 7% State avg: 30m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 51m per day | ▼ 22% State avg: 2h 22m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 0m per day | ▼ 15% State avg: 3h 31m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 82% State avg: 7m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 45m per day | ▼ 10% State avg: 50m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
7% more staff per resident than Utah average
0% compared with Utah average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
18 total: 8 full-time employees and 10 contractors.
18
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursAssists with medical care and medications.
7 total: 6 full-time employees and 1 contractor.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursHelps with daily care and mobility.
33 total: 23 full-time employees and 10 contractors.
33
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,917 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 23 | 10 | 33 | 6,356 | 92 | 100% | 9 |
| Registered Nurse | 8 | 10 | 18 | 2,567 | 92 | 100% | 8.1 |
| Licensed Practical Nurse | 6 | 1 | 7 | 1,607 | 90 | 98% | 8.2 |
| Other Dietary Services Staff | 2 | 0 | 2 | 792 | 77 | 84% | 7.3 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 504 | 61 | 66% | 8 |
| Physical Therapy Aide | 0 | 2 | 2 | 498 | 64 | 70% | 7.6 |
| Dental Services Staff | 2 | 0 | 2 | 490 | 61 | 66% | 8 |
| Speech Language Pathologist | 0 | 1 | 1 | 463 | 66 | 72% | 7 |
| Physical Therapy Assistant | 0 | 2 | 2 | 267 | 44 | 48% | 6.1 |
| RN Director of Nursing | 1 | 0 | 1 | 230 | 34 | 37% | 6.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 148 | 16 | 17% | 9.2 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 73 | 33 | 36% | 2.2 |
| Occupational Therapy Aide | 1 | 0 | 1 | 52 | 8 | 9% | 6.5 |
| Medical Director | 0 | 1 | 1 | 30 | 13 | 14% | 2.3 |
| Nurse Aide in Training | 1 | 0 | 1 | 12 | 1 | 1% | 11.5 |
| Qualified Social Worker | 0 | 1 | 1 | 1 | 1 | 1% | 0.6 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.3
43% better than Utah averageUtah average: 9.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
7.3
63% better than Utah averageUtah average: 20.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
5.5%
65% better than Utah averageUtah average: 15.7%
Percent of long-stay residents whose ability to move independently worsened
4.4%
79% better than Utah averageUtah average: 21.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
12.2%
47% better than Utah averageUtah average: 23.1%
Percent of long-stay residents experiencing one or more falls with major injury
1.5%
44% better than Utah averageUtah average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
12.1%
188% worse than Utah averageUtah average: 4.2%
Percent of long-stay residents with a urinary tract infection
0.7%
64% better than Utah averageUtah average: 2.1%
Percent of long-stay residents who lose too much weight
3.0%
27% better than Utah averageUtah average: 4.1%
Percent of long-stay residents who have depressive symptoms
24.2%
47% worse than Utah averageUtah average: 16.5%
Percent of long-stay residents who received an antipsychotic medication
11.9%
12% better than Utah averageUtah average: 13.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Utah averageUtah average: 97.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.4%
In line with Utah averageUtah average: 98.0%
Number of hospitalizations per 1,000 long-stay resident days.
1.38
16% worse than Utah averageUtah average: 1.19
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.56
137% worse than Utah averageUtah average: 1.50
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.1%
5% better than Utah averageUtah average: 92.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Utah averageUtah average: 1.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.1%
5% better than Utah averageUtah average: 91.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.0%
In line with Utah averageUtah average: 17.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.4%
20% better than Utah averageUtah average: 11.8%
Rate of successful return to home or community from a skilled nursing facility.
43.3%
14% worse than Utah averageUtah average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
33% of new residents, usually for short-term rehab.
40% of new residents, often for short stays.
27% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
35Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Sandstone Nephi from 2012–2024, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #56 / 77Payroll — State benchmarkedThis home is ranked 56th out of 77 homes in Utah. Shows total annual staff payroll benchmarked to the Utah average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Utah that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #45 / 77Payroll % — State benchmarkedThis home is ranked 45th out of 77 homes in Utah. Shows payroll as a percentage of revenue versus the Utah average. Well-run Utah facilities typically land around 52–58% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Utah that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
New residents most often arrive under private pay (40% of admissions), and a typical private pay stay runs around 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.1 miles from city center
Estimated distance in miles from Nephi's city center to Sandstone Nephi's address, calculated via Google Maps.
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Sandstone Nephi is located in Nephi, Utah.
Here are the financial assistance programs available to residents in Utah.
Sandstone Nephi is in the Nephi neighborhood.
Sandstone Nephi has a walk score of 22. Car-dependent. Most errands require a car, with limited nearby walkable options.
Sandstone Nephi's occupancy is 47.6%.
Sandstone Nephi is registered as a for-profit.
Yes — there are 5 photos of Sandstone Nephi in the photo gallery on this page.
Sandstone Nephi is located at 1100 N 400 E, Nephi, UT 84648.
(435) 623-1721 will put you in contact with the team at Sandstone Nephi.
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